Seasonal migration, HIV risk perceptions and condom use in rural Ghana for women aged 15-49

Maya N Vaughan-Smith, Population Council
J. Koku Awoonor-Williams, Ghana Health Service
James F. Phillips, Columbia University

This paper vividly describes significant socio-economic determinants of risk and condom use in a rural district of Ghana. The results show that for females aged 15-49 traditional worship (.81), literacy attainment (1.36), a wealth index in the middle 40% (1.30) and the highest 20% (1.40), and finally labor migration (1.17) are all significantly associated with HIV risk perception. Women who migrate for work during the harvest season have over a 40 percent increased likelihood of risk perception relative to other labor migrants. Women who were at risk were more likely to use a condom if the woman had a female head of household (RR=4.10), was literate (RR=2.24), in the top household wealth quintile (RR=1.83) and had access to a community-based health programs called CHPS (RR=2.12). The authors conclude that although higher socio-economic determinants increase a woman’s risk to HIV they also enable her to better protect herself against transmission.

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Presented in Session 72: Migration and Urbanization